Individual provider · Type 1 NPI

Travis Logan Justice, BA, CADC

Addiction (Substance Use Disorder) Counselor · Philadelphia, PA

NPI number 1700603099 Active

Practice location

4040 Market St
Philadelphia, PA 19104-3003

Call (215) 662-8747 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700603099

Travis Logan Justice, BA, CADC's National Provider Identifier is 1700603099, issued on Sep 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 16, 2026.